Individual provider Active NPI

Gretchen Noelle Montesanto, MA, LPC

  • Professional Counselor
  • Fayetteville, NC
National Provider Identifier
1174708028
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7356 Issued in NC
Practice address
1318 Raeford Rd
Fayetteville, NC 28305-5482
Phone
(910) 485-6336
Fax
(910) 485-6572
NPI assigned
Jan 9, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7356 NC Primary

Addresses

Primary practice location

1318 Raeford Rd
Fayetteville, NC 28305-5482

Mailing address

PO Box 9909
1318 Raeford Road
Fayetteville, NC 28311-9094
Phone (910) 485-6336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240223000394 NC Practitioner - Mental Health Counselor 5193169654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Marymount University, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Verna Dority MSW CCSW IncGroup PAC ID 6709070527, 19 clinicians

Practice addresses (Care Compare)

110 Applecross Rd
Suite A2
Pinehurst, NC 28374-9843
Phone (910) 420-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7356NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Verna Dority, MSW, CCSW, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

602 E Academy St
Ste 103
Fuquay Varina, NC 27526
Phone (910) 762-3185

110 Applecross Rd
Ste A2
Pinehurst, NC 28374
Phone (910) 420-3600

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1174708028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9909",
            "address_2": "1318 RAEFORD ROAD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119094",
            "telephone_number": "910-485-6336",
            "fax_number": "910-485-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 RAEFORD RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055482",
            "telephone_number": "910-485-6336",
            "fax_number": "910-485-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTESANTO",
        "first_name": "GRETCHEN",
        "middle_name": "NOELLE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-09",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.